Abruptio placentae and epidural block in labour

Risk factors for abruptio placentae.

In a prospective study 90 patients who had confirmed abruption of the placenta were compared with a control group. Significantly more patients who had abruptio placentae were unmarried, smoked cigarettes, received no antenatal care, had coitus within the 48 hours preceding delivery, developed intrapartum hypertension and had a lower ponderal index than the controls. More patients with abruptio ...

Abruptio placentae: perinatal aspects and current management.

The role of prenatal alcohol exposure in abruptio placentae.

OBJECTIVE To investigate the association between preconception and prenatal alcohol use and abruptio placentae. METHODS A case-control study of women with the clinical diagnosis of abruptio placentae, 65 cases.and 66 controls, at Tygerberg Academic Hospital, Western Cape, South Africa. Women in whom a retroplacental blood clot, covering at least 15% of the placental surface, was found at deli...

Uterine contraction patterns in patients with severe abruptio placentae.

Uterine contractions were monitored in 54 patients in whom severe abruptio placentae had caused intra-uterine death of the fetus. The frequency at the beginning of monitoring ranged from 2 to 14 contractions in 10 minutes, with a mean of 8,4. Only 4 patients had 4 or fewer contractions in the first 10 minutes of monitoring. No change in contraction frequency was observed during the course of la...

Clinical and haematological problems associated with severe abruptio placentae.

A clinical study was done of 80 patients in whom abruptio placentae was severe enough to cause intra-uterine death of the fetus. Central venous pressure pressure was measured when ever possible to ensure adequate fluid replacement. Although the minority of the patients were shocked when admitted, blood replacement averaged 5 units per patient. The caesarean section incidence was 21%. Only 1 pat...